Registration for IPI's Governance Reforms Conference, 13-14 April 2013

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Please complete the following information and make necessary payment to the India Policy Institute. The conference will go ahead subject to a minimum attendance that will be finalised by 25 March, 2013. It is not expected that the conference will be cancelled. However, should that happen, funds received will be reimbursed.

Name *

(in full, including any titles e.g. Dr.)

Name of organisation

This is optional - in case your participatin is being funded by an organisation

Your email address *

We will use email to contact you. If you have two email addresses, please give them both.

Your address *

Please provide postal address in full.

Your phone number/s *

Please provide your mobile number and land line number

Your highest qualification *

Nature of your interest in governance *

As general citizen

As an academic

As a practitioner (e.g. public servant)

Meal preference *

Vegetarian

Non-vegetarian

Payment *

Note that under the new system, Indian citizens are not being charged, but sponsorship will be needed to run the conference. Please assist in getting sponsorship.

Yes (for non-Indians)

Not required to pay (Indian citizen living in India)

Will sponsor through payment to India Policy Institute

Any other comment/question/suggestion

Submit

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